Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $26.92 / $109.65	Facility	26	$20.89	$26.92	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $537.03	Professional		$64.57	$131.83	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $43.65 / $102.33	Professional	26	$25.12	$43.65	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $89.13 / $316.23	Professional	TC	$36.31	$89.13	$316.23
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $112.20 / $251.19	Facility	26	$64.57	$112.20	$251.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $660.69	Professional		$85.11	$134.90	$660.69
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $35.48 / $173.78	Professional	26	$23.44	$35.48	$173.78
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $102.33 / $489.78	Professional	TC	$63.10	$102.33	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $52.48 / $70.79	Professional	26	$31.62	$52.48	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $162.18 / $218.78	Professional	TC	$95.50	$162.18	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $316.23	Professional		$91.20	$154.88	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.02 / $81.28	Professional	26	$23.44	$38.02	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $114.82 / $245.47	Professional	TC	$64.57	$114.82	$245.47
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $109.65 / $199.53	Professional		$35.48	$109.65	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $281.84	Professional		$102.33	$151.36	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $75.86	Professional	26	$27.54	$41.69	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $114.82 / $199.53	Professional	TC	$74.13	$114.82	$199.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $162.18	Professional		$38.90	$51.29	$162.18
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $112.20 / $251.19	Facility	26	$64.57	$112.20	$251.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $660.69	Professional		$87.10	$138.04	$660.69
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $35.48 / $173.78	Professional	26	$23.99	$35.48	$173.78
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $102.33 / $489.78	Professional	TC	$63.10	$102.33	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $295.12	Professional		$93.33	$138.04	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.02 / $81.28	Professional	26	$26.30	$38.02	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $102.33 / $223.87	Professional	TC	$69.18	$102.33	$223.87